Real time sonography is the main method used to distinguish between diffuse and focal pathological variations in the thyroid gland. It always detects the presence of the cysts, thus obviating the need for scintigraphy. The sensitivity of sonography for the thyroid nodules is nearly 100%, whereas its specificity is only 60%. The value of sonography in thyroid gland disease is discussed and a diagnostic scheme for thyroid nodules is given.
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